Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 15887 | Date 11/08/2025 |
| Token No | SM/25-26/4793 11/08/2025 | Serial | 068 Last Visit: 11/08/2025 |
| Patient Name | Master SK JIARUL | Contact No | 6289242895 |
| Address | 14 ARBINDA SARANI CHATRA SERAMPORE | Age | 7 Years,9 Months,29 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 20.8 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||